4W8-63612-25933
4 vaccinations
14 coded responses
47 check-ins
13 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 800 / CO
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-27
Registered in v-safe
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2021-03-27
Dose 1 — Pfizer-BioNTech
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-04-18
Dose 2 — Pfizer-BioNTech
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2021-04-18
Survey response — day 0, dose 2MedDRA: Confusional state — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: ConfusionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in L previously injured RCT shoulder, not the R side receiving injectionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-26
- 2021-05-02
- 2021-05-09
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2021-05-16
Survey response — day 28, dose 2MedDRA: Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad headaches and lethargy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-23
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2021-06-01
Survey response — day 42, dose 2MedDRA: Cough, Headache, Pre-existing disease — Feeling: GoodFree text: Runny nose, headaches, coughing - probably allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-18
- 2021-10-17
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2022-01-05
Dose 3 — Pfizer-BioNTech
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2022-01-05
Survey response — day 0, dose 3MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Light headednessMedDRA releases: 2024-11 · check-in free text available
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2022-01-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-01-07
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Increased pain in post-op shoulderMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: Renal pain — Feeling: Good · Site: PainFree text: Forgot to mention I had kidney pain the first 2 days after vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-01-11
- 2022-01-12
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2022-01-19
Survey response — day 14, dose 3MedDRA: Cough, Productive cough — Feeling: GoodFree text: Chronic cough with phlegmMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
- 2022-02-02
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2022-02-09
Survey response — day 35, dose 3MedDRA: Piriformis syndrome — Feeling: GoodFree text: Symptoms consistent with Piriformis Syndrome (undiagnosed)MedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
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2022-04-06
Survey response — 3 months, dose 3MedDRA: Arrhythmia, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cardiac arrhythmia, chest painMedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
- 2022-07-08
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2022-07-26
Dose 4 — Pfizer-BioNTech
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2022-07-27
Survey response — days 1–6 daily, dose 4MedDRA: Renal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Kidney painMedDRA releases: 2024-11 · check-in free text available
- 2022-07-29
- 2022-07-30
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2022-08-03
Health check-in — day 7, dose 4Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-08-11
- 2022-08-16
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2022-08-23
Survey response — day 28, dose 4MedDRA: Fatigue, Lethargy, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lethargy. Hard to get out of bed. Tired all the time.MedDRA releases: 2024-11 · check-in free text available
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2022-08-31
Survey response — day 35, dose 4MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tired all the time. Has actually lasted for weeks, but I thought it was thyroid, but thyroid numbers are okMedDRA releases: 2024-11 · check-in free text available
- 2022-09-07
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2023-01-24
Survey response — 6 months, dose 4MedDRA: Asthenia, COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-24
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech | |
| 3 | 2022-01-05 | Pfizer-BioNTech | No |
| 4 | 2022-07-26 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Confusion
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in L previously injured RCT shoulder, not the R side receiving injections
Release 8 — day 28, dose 2
Symptoms: Bad headaches and lethargy.
Release 8 — day 42, dose 2
Symptoms: Runny nose, headaches, coughing - probably allergies
Release 10 — day 0, dose 3
Systemic reaction (other): Light headedness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Increased pain in post-op shoulder
Systemic reaction (other): Forgot to mention I had kidney pain the first 2 days after vaccine
Release 10 — day 14, dose 3
Symptoms: Chronic cough with phlegm
Release 11 — day 35, dose 3
Symptoms: Symptoms consistent with Piriformis Syndrome (undiagnosed)
Release 11 — 3 months, dose 3
Symptoms: Cardiac arrhythmia, chest pain
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Kidney pain
Release 12 — day 28, dose 4
Symptoms: Lethargy. Hard to get out of bed. Tired all the time.
Release 12 — day 35, dose 4
Symptoms: Tired all the time. Has actually lasted for weeks, but I thought it was thyroid, but thyroid numbers are ok
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arrhythmia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Piriformis syndrome | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Renal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release